Temecula Neurofeedback LLC

Primary specialty

EEG TechnicianTaxonomy code 2472E0500X

Legal business name

TEMECULA NEUROFEEDBACK LLC

Practice address

43950 Margarita Rd Ste B
Temecula, CA 92592-2732

Phone

(951) 663-5206

NPI assigned

Apr 29, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bennett Williams, R.T.(CT)(R)(ARRT)

Title

Administrative Director

Phone

(951) 663-5206

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1699410191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43950 MARGARITA RD STE B",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922732",
            "telephone_number": "951-663-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43950 MARGARITA RD STE B",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922732",
            "telephone_number": "951-663-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMECULA NEUROFEEDBACK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BENNETT",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "951-663-5206",
        "authorized_official_credential": "R.T.(CT)(R)(ARRT)"
    },
    "taxonomies": [
        {
            "code": "2472E0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other, EEG",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• EEG Technician in Temecula, CA
• Providers in Temecula, CA by specialty
• EEG Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.